Inspection on 09/05/05 for Springfield House

This inspection was carried out on 9th May 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Springfield House 27/04/07

Springfield House 23/09/05

Springfield House 18/08/04

Springfield House 12/05/04

Similar services:

The Shelley

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

Anchorstone Services Limited

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Springfield House 6 Stoke Road Cobham Surrey KT11 3AS Lead Inspector Kathy Martin Unannounced 09/05/05 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Springfield House h58_s13352_Springfield House_v224397_090505_st4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Springfield House Address 6 Stoke Road, Cobham, Surrey, KT11 3AS Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr & Mrs Fothergill T/A The Springfield Partnership Ann Higgins CRH N 27 Category(ies) of OP - Old Age - 27 registration, with number of places Springfield House h58_s13352_Springfield House_v224397_090505_st4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Up to 3 beds in the above category may be used for respite and short stay care Date of last inspection 18/08/04 Brief Description of the Service: Springfield House is a privately owned care home which provides nursing care for 27 residents with old age. The home is a large detached property situated on a busy road in Cobham and within good road links to main routes and motorways. The home is well maintained and decorated in a homely way. It also has a car park for visitors and a garden. The home engages the community in providing useful activities and outings for those able to take part. There are many other health care professionals who help the care staff to deliver care in the home. Springfield House h58_s13352_Springfield House_v224397_090505_st4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is the first CSCI inspection this year. The home will receive a second inspection before the end of March 2006. The inspection was unannounced which means that staff and residents were not aware that this visit would take place beforehand. The manager was not there when the inspector came and later joined in the inspection. There was a nurse in charge working with another nurse and a group of carers. The home was clean and well maintained. The atmosphere was relaxed and residents were being attended to, as it was a busy time of the day. The environment was homely. The nurse assessor from the community was there and she was looking into the residents’ files to assess the residents’ needs. She later was observed seeing some residents. The inspector asked her for her feedback on the home and this was very positive. There was good professional links with the nurses in the home and the nurse assessor stated that the care plans were well structured and residents’ care were being met. The inspector met many residents during this visit and many had good comments to make such as: “I don’t like activities. The food is excellent and the staff is good although not enough time”, “ I like to go out”, “I love the garden and love to go out at least once a day walking outside”. Mostly residents had their own routines and were encouraged to take control of their lives and what they enjoyed doing. One resident talked to the inspector about how much daily walks was an important part of one’s life and how the physiotherapist was helping with this goal. Interactions between the staff and the residents were observed as patient, caring and kind. The inspector wishes to thank all those who helped in providing the information to write this report especially the residents who spoke about their lives and experience in Springfield House, which was very positive. What the service does well: Their good links with community care professionals and the way they worked well with each other. In particular, the support of the manager, the provider, the business manager and the rest of the staff for each other is noted Springfield House h58_s13352_Springfield House_v224397_090505_st4.doc Version 1.30 Page 6 especially when members of staff have had to deal with personal issues. This is commendable. There is a lot of good training organised for all staff. The activities organiser has build up on regularly providing an activity in a consistent manner to all those who wish to take part in group activities and also sees the ones who prefer a one to one meeting or companionship. The providers and manager have met all the requirements from the last inspection report. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Springfield House h58_s13352_Springfield House_v224397_090505_st4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Springfield House h58_s13352_Springfield House_v224397_090505_st4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1 and 3. The home offered a good range of information at the point of application to all prospective residents. The admission process is unhurried and a lot of thought goes into this procedure to ensure the home is able to care for the new resident before a placement is offered. A lot of people take part in this process of admission. EVIDENCE: Two residents were able to say that they knew about the home’s brochures and also were given details of the home and the facilities before they came in. The manager visits all prospective residents to complete their assessment of needs. There is a lot of discussion with the resident, their relatives and other professionals before a decision is reached. One recently admitted resident was able to tell the inspector about the transition from the hospital to the home, which she thought was well thought of as every effort was made to ensure the room was suitable, that the resident would manage the stairs with help from the physiotherapist and also go out as often as possible. The home maintains copies of signed contracts for all residents, which were filed. Springfield House h58_s13352_Springfield House_v224397_090505_st4.doc Version 1.30 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8 and 10 The residents have a full detailed care plan, which explains all their needs and what the staff did to help them. There are lots of health care professionals who also help the staff to make sure that the residents are well looked after. Residents are treated with respect and are offered privacy. The home thinks this these are very valuable principles of care and they uphold these values. EVIDENCE: The care plans for 5 residents were seen and these contained very detailed notes that explain exactly what the residents’ needs were and showed that these needs were individual to them. Each care plan seen were discussed at length with the nurse in charge and the manager in turn and both knew of their contents explicitly which showed that they knew their residents well. The inspector also met some of the residents and was able to chat to the residents about their needs, which matched the care plans seen. Also the inspector spoke with the community nurse assessor who was reviewing some residents that day. She stated that the home kept updated care plans that were of “good standards”. There was also information about their social interaction/ wishes, the risk assessments for falls or poor nutrition, skin breakdown, pain and any allergy warnings. One requirement was made for the risk assessment to also be written for the residents who use cot sides/ bedrails. Springfield House h58_s13352_Springfield House_v224397_090505_st4.doc Version 1.30 Page 10 The inspector also observed that staff knocked on the doors before being invited into residents’ bedrooms. The staff were observed to speak kindly to the residents and had a good rapport with the relatives as they often mentioned residents’ relatives names when talking to the residents. Springfield House h58_s13352_Springfield House_v224397_090505_st4.doc Version 1.30 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13 and 14 There were opportunities available for residents to participate in activities either in the home itself or outside in the community. Residents were encouraged to maintain contact with their family and friends and exert control over their own lives as much as possible and in accordance with their abilities. EVIDENCE: The service users were offered a range of activities in house, which the activities coordinator organised in advance. There is a list available but this list needs to be written in larger print so everyone can read it. Therefore the inspector made a recommendation for this to be available in larger print and also copies taken to those who cannot read the board properly due to their lack of mobility. Examples of activities residents enjoyed were: “May Pole readings and Craft”, “exercise to music – stretch”, “Bat and Ball Skittles”, watching movies and taking part in “reminiscence music appreciation”. There are many other entertainers who come to the home to help. The activities organiser has had training in music to movement. The home has an open policy on visiting hours. Residents can have a telephone in their bedrooms if they want which they are responsible to pay for. The inspector met with one resident who regularly goes out to exercise and stated that the home and the physiotherapists encouraged her to do so. Springfield House h58_s13352_Springfield House_v224397_090505_st4.doc Version 1.30 Page 12 Trips are organised regularly for small groups to go out. The activities organiser also spends time with the residents who do not enjoy group activities. Springfield House h58_s13352_Springfield House_v224397_090505_st4.doc Version 1.30 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 and 18 There are procedures in place in the home to ensure residents’ views are heard and their complaints answered in a proactive manner. The staff are given training and procedures to ensure the protection of vulnerable adults. EVIDENCE: The residents received copies of the complaints procedures when they come to live in the home. The staff logged all complaints received in a book and follow up any concerns raised. Residents’ visitors are encouraged to talk to the staff and on previous inspections, the inspector had opportunities to discuss this with residents’ visitors who stated that they could ask to speak to staff and the manager anytime. The home offers training in the protection of vulnerable adults. The training records indicated that this was done every year. Springfield House h58_s13352_Springfield House_v224397_090505_st4.doc Version 1.30 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19 and 26 The home is decorated in a homely manner and is well maintained. There are staff employed to ensure it is clean and tidy. EVIDENCE: There is a maintenance person available to ensure all minor repairs are undertaken rapidly. There are contracts in place for equipment maintenance and servicing. The residents said they had a nice room with everything they needed. There was evidence of personalisation of bedrooms with bedding, furniture and ornaments. The home employs staff to undertake all the daily cleaning. The home was indeed clean and tidy during the inspection and gave the impression of being well looked after. The residents appeared comfortable and there was more than one area to sit and socialise or even for private time. Springfield House h58_s13352_Springfield House_v224397_090505_st4.doc Version 1.30 Page 15 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27 and 30 The home employs sufficient staff and those who leave are replaced in a reasonable time to ensure continuity of care. There is plenty of training available for staff, which the manager encouraged staff to do. EVIDENCE: The vacancies for 2 carers would be filled soon. There are sufficient staff on duty to ensure the shifts are covered and the residents are receiving the care they need. The training booked for this year includes updates for all levels of staff and also NVQ training up to level 2 and 3 for carers. The home now has more than the 50 target of staff with at least a level 2 NVQ. Staff are supported to attend training and gain knowledge and skills to help them do their jobs. Springfield House h58_s13352_Springfield House_v224397_090505_st4.doc Version 1.30 Page 16 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 36 and 38 The staff are supervised although they need to have regular formal meetings with their supervisors. There are health and safety procedures in place to ensure the safety of residents and staff is maintained. EVIDENCE: The manager explained that staff received supervision regularly and she had just started appraisals on some staff. It is required that regular formal supervision be arranged for all staff including the manager. There are policies and procedures in place to assist staff to deal with all issue relating to health and safety in the home. Staff are also given training such as food safety, manual handling, fire precautions, first aid and abuse which help them to do their jobs. Repairs are carried out promptly and the home is well maintained. Equipment is serviced regularly and alarms are tested. All these are recorded in dedicated files. Springfield House h58_s13352_Springfield House_v224397_090505_st4.doc Version 1.30 Page 17 A risk assessment for cot sides/ bedrails is needed and a requirement is made in this report to have such records on file on each resident who uses these equipment. Springfield House h58_s13352_Springfield House_v224397_090505_st4.doc Version 1.30 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 x 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 x COMPLAINTS AND PROTECTION 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 x 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x x x x 3 x 3 Springfield House h58_s13352_Springfield House_v224397_090505_st4.doc Version 1.30 Page 19 no Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 38 Regulation Requirement Timescale for action 23/06/05 2. 36 13 (4) (c ) To provide written risk assessements for the use of bedrails signed by residents or their next of kin 18 (2) Provide regular formal supervision for all staff including the manager 23/08/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard 12 Good Practice Recommendations Provide larger prints for menus and the activities list Springfield House h58_s13352_Springfield House_v224397_090505_st4.doc Version 1.30 Page 20 Commission for Social Care Inspection The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Springfield House h58_s13352_Springfield House_v224397_090505_st4.doc Version 1.30 Page 21 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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